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비색법(Chromometry)을 이용한 유리피판술 후의 피부색 변화 측정

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Author(s)
임중재손대구최동원한기환Joong Jae LimDae Gu SonDong Won ChoiKi Hwan Han
Keimyung Author(s)
Son, Dae GuChoi, Dong WonHan, Ki Hwan
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2001
Volume
28
Issue
3
Abstract
The distant free flaps have become the first choice for large, complex, complicated wounds. The skin of free flaps maintains its original color and texture with little or no change, but even these can develop some abnormal pigmentation and distant tissue does not match with recipient sites skin in color, texture, or thickness. To evaluate color changes of transferred flaps and color match with recipient sites in free flaps, we used Minolta chromameter with a L, a, b, color space recommmended by the CIE(Commission International de l'Eclairage). Eighteen patients(12 males and 6 females) who had undergone various free flap surgeries participated in the present study. The used free flaps included 5 first webspace free flaps or great toe free transfers, 5 free transverse rectus abdominis myocutaneous flaps, 2 free dorsalis pedis flaps, 2 free latissimus dorsi myocutaneous flaps, 2 free gracilis myocutaneous flaps, 2 free lateral arm flaps. The recipient sites for reconstruction were hand(n = 7), forearm(n = 4), lower leg(n = 3), foot(n = 2), breast(n = 2). In the 1st, 3rd, 6th, and 12th month after surgery, time-related colorimetric changes of the first webspace free flaps or great toe free transfers for thumb and first webspace reconstruction(n=5) showed a decrease in L(lightness). The a(redness), b(yellowness) value of the flap were not significantly changed. The skin color changes of the transferred flaps to sun unexposed recipient sites(breast) were less than those to sun exposed recipient sites(hand, forearm, lower leg). These indicate probably because of the greater quantity of pigment in sun exposed skin flaps. Also,in total color difference of the transferred flaps and recipient sites, free transverse rectus abdominis myocutaneous flaps for breast reconstruction was lower than the other flaps. Measuring skin color of the planned flap and recipient site before surgery and management of sunlight exposure of the recipient site are very helpful guides to obtain a good color match in reconstructive surgery.
Alternative Title
Measurement of the Skin Color Changes of Free Flaps by Chromometry
Keimyung Author(s)(Kor)
손대구
최동원
한기환
Publisher
School of Medicine
Citation
임중재 et al. (2001). 비색법(Chromometry)을 이용한 유리피판술 후의 피부색 변화 측정. 대한성형외과학회지, 28(3), 255–261.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39153
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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